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Susan Dentzer Discusses Trends in Today's Health Insurance Marketplace
Susan Dentzer, senior policy adviser, Robert Wood Johnson Foundation, says there are many trends that are transforming today's health insurance marketplace.
Susan Dentzer, senior policy adviser, Robert Wood Johnson Foundation, says there are many trends that are transforming today’s health insurance marketplace. “First and foremost, we have all the arrays of reforms in Affordable Care Act that are finally putting the individual insurance market and the small group market on the same footing of the rest of health insurance,” said Ms Dentzer.
Other reforms including age rating compression, elimination of gender rating, and the existence of health insurance exchanges will help the industry to standardize levels of coverage as well as increase health plan transparency. Much more broadly, she says there have been a variety of payment and delivery system reforms in the ACA.
“The health insurance industry itself is morphing to a large degree into something very different,” suggested Ms Dentzer. “For many players in the industry they see their future as really being the ‘back office,’ in effect, for the nation’s ACOs and integrated delivery systems. It’s a very different role from the role of a classic insurer.”
Semaglutide Eligibility Expands to Over Half of US Adults
November 21st 2024Over half of the US adult population may benefit from semaglutide, a drug primarily used for weight loss and diabetes, although concerns about access and cost persist, especially considering its potential for wider health applications.
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Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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Despite Record ACA Enrollment, Report Reveals Underinsured Americans Are in Crisis
November 21st 2024Despite significant progress in expanding health insurance coverage since the Affordable Care Act (ACA) was enacted, millions of Americans still face critical gaps in access to and affordability of health care.
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New Study Finds Risk Groups, Outpatient Care Barriers in Chronic Liver Disease
November 20th 2024Patients with chronic liver disease who were unable to establish care were 85% more likely to require recurrent hospitalizations. This group included a disproportionate number of women and individuals with physical limitations affecting their health.
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